Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $4,022.00 / $11,550.00	Facility		$165.00	$4,022.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.11 / $162.26 / $234.72	Professional		$108.11	$162.26	$234.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,605.10 / $1,910.83	Facility		$432.00	$1,605.10	$1,910.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $207.54 / $363.34	Professional		$125.47	$207.54	$363.34
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,759.00 / $23,031.00	Facility		$5,979.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $154.49 / $271.74	Professional		$143.33	$154.49	$271.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $218.31 / $296.54	Professional		$149.05	$218.31	$296.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.79 / $246.15 / $425.93	Professional		$164.79	$246.15	$425.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $152.24 / $152.24	Professional		$99.32	$152.24	$152.24